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NOTE: PULL ALL ERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005605 <br /> DATE RECEIVED by EHD: September 01,2005 APPL#: PA-0500577 <br /> Referral Agency STAFF CONTACT: KERRY SULLIVAN PE : 2634 <br /> ry IMPROVEMENT PLAN-MINOR(IP) <br /> COMPLETE&SUBMIT BY: — `7�f��S <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 7735 S ST RT 99 W FRONTAGE RD, STOCKTON APN : 17726014 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> / <br /> I recommend: Approval ❑ Denial El Continuance F1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> Al <br /> i <br /> GAAle <br /> WA <br /> �T r� <br /> SUPERVISOR LEAD SENIOR Appruc-al: - Date: <br /> OA 11 Check Off List: Proofread Report? - Correct LAN[)USE#9 <br /> Correct CONDYI 10N(S)? Logged in LAND USE Book? <br /> GH 06 06 Report#7201 September 08,2005 <br />